| NPI | 1679800957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NH 2117) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VT 000180) |
| 1041C0700X Social Worker, Clinical (Licence: VT 089-0000155) | |
| Enumeration Date | 2009-11-08 |
| Last Update Date | 2020-06-17 |